PBG Wellness Center LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PBG WELLNESS CENTER LLC

Practice address

3450 Northlake Blvd Ste 110
Palm Beach Gardens, FL 33403-1712

Phone

(561) 307-1801

NPI assigned

Dec 28, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Geoff Spillias

Title

Ceo

Phone

(561) 307-1801

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1831968171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CRESCENT CIR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 NORTHLAKE BLVD STE 110",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031712",
            "telephone_number": "561-307-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBG WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "SPILLIAS",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-307-1801"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.